Continuing Education for Psychologists

SEXUAL BOUNDARY VIOLATIONS
Therapeutic, Supervisory, and Academic Contexts

Sexual boundary violations are considered the most serious ethical infractions in the mental health profession, as well as in higher education and pastoral counseling. Recognized as unethical due to the power imbalance inherent in the structure of the therapist-patient and teacher-student dyads, erotic contact between therapists and patients has been revealed in prevalence studies to occur at an unacceptably high incidence rate (nine to twelve percent) among mental health practitioners. There exist few programs, teaching methods, and preventative measures that adequately address the problem of sexual boundary violations, despite the fact that discussing this problem openly is no longer taboo. Sexual Boundary Violations addresses this gap, providing educators, trainers, and clinicians with a resource to aid in developing programs, ethics workshops, seminars, and other educative or clinical teaching projects.

Andrea Celenza, Ph.D., is an assistant clinical professor at Harvard Medical School. She has authored and presented numerous papers on therapists who have engaged in sexual misconduct with a focus on training, supervisory, and rehabilitation issues. She is the receipient of several awards, including the Karl A. Menninger Memorial Award, the Felix & Helena Deutsch Prize, and the Symonds Prize. She is in private practice in Massachusetts.

"Sexual Boundary Violations is an outstanding book that belongs in every therapy training program, but not just to help the trainees. It is a humanely and well-written reminder of our own vulnerability and the unjustified, moralistic attitudes that keep more people from seeking help when they are losing control. Andrea Celenza writes and thinks clearly and explores her sensitive material in an evenhanded and matter-of-fact way. She manages to educate us about a moral dilemma while adeptly modeling and encouraging us to view even the gravest missteps with curiosity and compassion."
-- PsycCRITIQUES

"An outstanding book that belongs in every therapy training program, but not just to help the trainees. It is a humanely and well-written reminder of our own vulnerability and the unjustified, moralistic attitudes that keep more people from seeking help when they are losing control."
-- PsycCRITIQUES

Andrea Celenza is one of a handful of mental health professionals who has studied the problem of sexual boundary violations in the helping professions. Where others speculate, she brings years of clinical experience to bear on the subject. The result is a highly informative and comprehensive overview of the causes, consequences and casualties of sexual boundary violations. She maintains a humane perspective and offers valuable strategies for rehabilitation and treatment. All mental health professionals would be wise to spend some time with this superb new book."
-- Glen O. Gabbard, M.D., chair of psychoanalysis, The Brown Foundation; professor of psychiatry, Baylor College of Medicine, Houston, Texas

Dr. Celenza holds the various phenomena involved in sexual boundary violations by therapists and clergy to a multi-faceted lens of clinical psychoanalysis, supervisory consultation, psychological testing, empirical research, ethics, law-and that metapsychologically elusive human attribute called decency. She extends and deepens the existing knowledge in this realm while introducing many intriguing and useful novel concepts of her own. Avoiding the pitfalls of sentimentality and moralizing, Celenza unmasks the ubiquitous vulnerability to such transgressions and the profound damage caused by them. She delineates ameliorative and preventive strategies aimed at minimizing such betrayals. Unerringly compassionate in its approach, Celenza's work is a shining tribute to the essential humanity at the heart of the psychotherapeutic enterprise.
--Salman Akhtar, MD, is professor of psychiatry at Jefferson Medical College and training and supervising analyst at the Psychoanalytic Center of Philadelphia, Pennsylvania.

Sexual Boundary Violations is an essential text for the mental health field and should become required reading for therapists, analysts, teachers, and clergy. I am sure that we will use it in our training program as part of the required course on professional ethics. Comprehensive, well organized, clearly written, with numerous and often gripping clinical illustrations, the book not only reviews the literature but provides practical and helpful guidance for clinicians and clergy as well as for those who teach and supervise them.
-- Lewis Aron, Ph.D., New York University Postdoctoral Program in Psychotherapy and Psychoanalysis